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Which of the following statements about pyelonephritis in pregnancy is correct?

A.

Pyelonephritis in pregnancy does not pose any risks to the fetus.

B.

Untreated pyelonephritis in pregnancy can increase the risk of preterm labor and low birth weight.

C.

Pyelonephritis is a common condition during pregnancy.

D.

Pyelonephritis is a mild infection that does not require treatment.

Answer and Explanation

The Correct Answer is B

A. Pyelonephritis in pregnancy does not pose any risks to the fetus. Pyelonephritis can lead to complications such as preterm labor, low birth weight, and maternal sepsis, making this statement incorrect.

B. Untreated pyelonephritis in pregnancy can increase the risk of preterm labor and low birth weight. Pyelonephritis can cause systemic inflammation, leading to complications such as preterm labor and fetal growth restriction. Prompt treatment is necessary to reduce these risks.

C. Pyelonephritis is a common condition during pregnancy. While urinary tract infections (UTIs) are common in pregnancy, pyelonephritis (kidney infection) is less frequent but more serious.

D. Pyelonephritis is a mild infection that does not require treatment. Pyelonephritis is a serious condition that requires immediate antibiotic therapy to prevent maternal and fetal complications.


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Related Questions

Correct Answer is D

Explanation

A. This test assesses fetal lung maturity. Fetal lung maturity is assessed using the lecithin-sphingomyelin (L/S) ratio or phosphatidylglycerol (PG) test, typically performed after 32 weeks of gestation.

B. This test identifies an Rh incompatibility between the mother and fetus. Rh incompatibility is detected through an indirect Coombs test, not an MSAFP test.

C. It assesses various markers of fetal well-being. The biophysical profile (BPP) and nonstress test (NST) assess fetal well-being, not MSAFP.

D. It is a screening test for spinal defects in the fetus. MSAFP is a screening test for neural tube defects (e.g., spina bifida, anencephaly) and chromosomal abnormalities. High levels may indicate neural tube defects, while low levels may suggest Down syndrome or other chromosomal abnormalities.

Correct Answer is C

Explanation

A. Maternal bradycardia: Late decelerations are caused by uteroplacental insufficiency, not maternal heart rate changes.

B. Fetal head compression: Fetal head compression causes early decelerations, which are benign and mirror contractions. Late decelerations occur after contractions and indicate a more serious issue.

C. Uteroplacental insufficiency: Late decelerations occur due to decreased oxygenation from poor placental perfusion (uteroplacental insufficiency). Common causes include maternal hypotension, post-term pregnancy, uterine tachysystole, and placental abruption.

D. Umbilical cord compression: Umbilical cord compression causes variable decelerations, not late decelerations.

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